Preview

Essay On Evidence Based Practice

Best Essays
Open Document
Open Document
1205 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Essay On Evidence Based Practice
Week 6
Evidence –based practice and its impact on nursing management and leadership

Recent changes in the American health care system, the challenges to recruit and retain nurses, and other factor observed such as quality of decision making in the work environment have been the leitmotiv encouraging me to conduct this study. I want to conduct a systematic research using interviews, evidence through the literature, the patient determination acts in the context of health care system. I will critique the findings and propose some changes based on data collected after the interviews.
Picot…
This work is a systematic review of the literature, which assesses the impact and benefit in using Evidence –based practice (EBP) in nursing management
…show more content…
Ptefferl (2006) stated it is time to start an evidence –based movement in ranking manager, because the challenge is greater in management than medicine. Nurse Managers represent higher management, their decision should be made with the clear goal considering the vision of their organization. Efken (2010) believe a decision support tool should help manager make effective decisions if it is systematic and efficient with consideration of more alternative ways to reach the goal. Could evidence -based practice help meeting that goal? Management is not in opposition to leadership, in fact, if both require the mastery of different skills, they are interacting synergistically. Management focuses on applying policy and procedure, decision making consistency while leadership is showing the way to adapt the unit to …show more content…
Such initiatives are also likely to be sources of motivation to augment use of research and evidence-based nursing by floor nurses when they are promoted. The limit of the work is better understanding does not mean real implementation in improving the workplace environment (Wallin, 2006). But there is little evidence on what works and what organizations can do to support best management practice based on my reading. I came across a pamphlet online presenting the Current role and nature of managers in today’s NHS. Although official records state that 3% of staff are managers, new research suggests that around a third of hospital staff have substantial managerial roles. For example, I have observed charge nurse making decision for an entire unit. I will present a definition of different roles play by nurses at my Monroe Hospital. I found managers at bedside doing dressing and charge nurse making decision resulting in a dual role that could impact management of the unit efficiency. Another important finding that I believe exist in some of the literature is management and leadership functions is more distributed from top to bottom among nurses. Unfortunately they do not address the importance of education and constant Training for nurses in the manager

You May Also Find These Documents Helpful

  • Powerful Essays

    Kitson, a., Harvey, G., McCormack, B., (1998). Enabling the implementation of evidence based practice: a conceptual framework. Quality in Health Care, 7, 149-158. doi: 10.1136/qshc.7.3.149…

    • 1930 Words
    • 8 Pages
    Powerful Essays
  • Satisfactory Essays

    The health care organizations should provide nurses mandatory evidence-based practice (EBP) programs annually to develop and ensure competencies that enable staff nurses to use evidence in their practice. Moreover, nurse managers and leaders need to create a supportive environment for EBP, such as providing resources for searching for evidence. In order to have the administrative support, managers and leaders need to communicate with policymakers and set out related policies with evidence-based research to make the EBP as the daily basis of nursing care. Consequently, it should be…

    • 154 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Organizations hire individuals in order to obtain desired goals, this can be accomplished by dividing these individuals into groups. In the hospital setting groups are divided by their specialty, such as nurses. Evidence-based practice is changing how we practice medicine (Long & Matthews, 2016). When evidence-based practice…

    • 403 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    A number of studies reveal that the advantages of implementing evidence-based practice by nurses and other health professional’s results in the advancement quality of care that leads to enhanced patient outcomes. Furthermore, the current use of evidence-based in the clinical setting would result in increased patient outcome since the evidence-based practice includes multidisciplinary recommendations that could facilitate all nurses in addressing questions related to the best patient care.…

    • 141 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Evaluation may be developmental, intended to deliver direction for the development and implementation of an outcome-oriented (Billings & Halstead, 2012). Evidence-based practice (EBP) is decision- making on the care delivery to patients, which is based on current identified and validated research evidence, consumers’ preferences, expert opinions and society expectation(Adams & Barron, 2010). This requires the baccalaureate nurses to make clinical decision pertaining to patient’s care. Therefore, the best clinical decision -making should be based on EBP with the intention to achieve quality patient…

    • 1092 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The focus of this assignment is to look at Evidence Based Practice (EBP), why it is important for nursing to be evidence based and the barriers to implementation of EBP.…

    • 627 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Evidence based practice helps us to ensure that we are providing the best possible care to our patients. By basing our care on practices that have outcomes based on evidence just makes since. They have been tested and proven to be effective on patients. We don’t have to do trial and error to find out what works the best for our patients, the work has been done for us. This gives our patients the best care possible. Many changes have been made over the past 10 years based on evidence based practices. There are many resources available to nurses, nurse managers, administrators and others that provide research that has been completed. These resources include different kinds of studies that have been performed. They include cohort studies, case…

    • 209 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a successful mentor in the acute care environment. A successful manager or leader that can positively implement quality and performance initiatives, by enacting the National Quality Strategy’s three aims of better care; healthy people/ healthy communities and affordable care changes, as the most marked missions for leaders to implement in this national healthcare reform ( Weston & Roberts, 2013). Managers and leaders who effectively measure and support their nursing personal in reaching their institutions mission of better quality and performance in the United States healthcare system, will report positive progress in care coordination of patient safety, improved care for at risk populations through preventative health offerings and an improved quality of patient and caregiver experience (Weston & Roberts, 2013). Implementing change is often met with resistance from healthcare personal as overwhelming changes continue to transpire. A Leader or managers who use strategic management strategies with application of shared governance to implement these changes as well as self-evaluating their overall personality type are all important factors in being successful. The pros and cons of the expectations of a leader or manager implementing…

    • 1351 Words
    • 4 Pages
    Better Essays
  • Better Essays

    Five propositions about the role played by nurse managers emerged. It was discovered that the organizations that support evidenced based nursing that is championed by nurse managers and directors were the champions. Nurse managers have a significant influence in the implementation of evidenced based practice because they hold a middle management position which is crucial to success. Attitudes and behaviors with respect to evidenced based nursing practice has a great deal of influence on the evidenced based practice and culture of the organization. There is a potential for nurse managers to not have the knowledge and skill that gives them the insight to support evidenced based practice implementation. This is thought to be the result of nurse managers who may have entered the nursing profession when research and evidence based practice was not…

    • 1127 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Nurse staffing ratios is a growing concern that is seen by nurses everywhere, and studies have shown it is a problem. Hospitals that have insufficient staffing ratios have poorer patient outcomes, increased patients deaths, nurse burnout, higher turnovers, dissatisfaction among employees and their patients. (American Nurses Association 2013) This has led to new laws and regulations that require adequate staffing that is based on the acuity of the patients. Nurse staffing is measured two different ways; hours spent on each patient daily and how many patients per nurse. The hours spent on patient care covers registered nurses, licensed practicing nurses, and nurse aides. Increasing staffing ratios is not an easy task and according to the Agency for Healthcare Research and Quality (2004), can be due to a higher level of acuity patients being seen and a gap that is nationwide in the positions available and the number of qualified…

    • 1496 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Evidence-Based Practice

    • 813 Words
    • 4 Pages

    Evidence-based practice (EBP) has been emphasized since the publication of the Institute of Medicine’s report “To Err Is Human”. Nurses should be able to not only provide standard care within the scope of practice but also deliver safe care based on the best EBP that is most up-to-date at that time. Furthermore, research is developed based on the current evidence-based practice. Research nurses work on new projects to conceptualize innovative ideas, generate literature research, and conduct clinical trials to develop new evidence-based practice. The reason why evidence-based practice and research are important is because health…

    • 813 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    On the surface it is reasonable to deduce that management manages and leadership leads however Burn’s research led him to conclude two distinctively different approaches which are transformational leadership and transactional leadership. The transactional module appears more suited to the role of management as, in its simplest form, is built on the principle of give and take. This form of give and take may create feelings of inequality due to disproportions in the give and take dynamic. The transformational leadership seeks to foster change from leading within as a means of fostering external change while creating an environment, which seeks to promote equality (Burns, 1978). This beckons consideration of whether effective managers can act as effective leaders. In the context of nursing according to Hurley and Hutchinson “Within a well resourced and structured hospital… mentors and leadership competency standards were used to develop leaders who also held managing roles” (Hurley & Hutchinson, 2013). However even though leadership is considered an essential component of nursing practice it is divergent from the practice of management (Stanley, 2006). While these two opposing perspectives have merit, one thing is fundamentally clear and that nurses need to feel supported in change if effective forward progression within the industry is to occur…

    • 2016 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Patient-centered care is globally becoming the focus in the health care system, resulting in the integration of evidence-based practice to improve care. Evidence-based practice has been introduced to the health care industry to incorporate clinical expertise, scientific research, and the values as well as preferences of patients to ensure that the patient is the focus of care. Nurses play a crucial role in the implementation of evidence-based practice to ensure that clinical decisions based on current evidence, patient values, and clinical expertise guide the care provided to the patient. To improve care, nurses must consider what decisions should be made for the care of a patient through careful assessment of patient preferences while also…

    • 442 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Melnyk,B. M. & Fineout-Overholt, E. (2005). Evidence-base practice in nursing and healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins.…

    • 3442 Words
    • 14 Pages
    Powerful Essays
  • Powerful Essays

    Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.…

    • 2618 Words
    • 11 Pages
    Powerful Essays

Related Topics